U.S. patent number 10,531,823 [Application Number 15/601,390] was granted by the patent office on 2020-01-14 for systems and methods for generating notifications based on bladder volume signals and bladder muscle signals.
This patent grant is currently assigned to HILL-ROM SERVICES, INC.. The grantee listed for this patent is Hill-Rom Services, Inc.. Invention is credited to Eric D. Agdeppa, Yongji Fu, Michael S. Hood, Brian L. Lawrence.
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United States Patent |
10,531,823 |
Lawrence , et al. |
January 14, 2020 |
Systems and methods for generating notifications based on bladder
volume signals and bladder muscle signals
Abstract
Systems and methods for generating notifications based on
bladder volume signals and bladder muscle signals are disclosed. A
system includes a processor, a plurality of bladder electrical
signal application electrodes, a plurality of bladder volume
measurement electrodes, a plurality of bladder muscle measurement
electrodes, a memory module communicatively coupled to the
processor, and machine readable instructions stored in the memory
module. When executed by the processor, the machine readable
instructions cause the system to output a first electrical output
signal with the plurality of bladder electrical signal application
electrodes, receive the bladder volume signal at the plurality of
bladder volume measurement electrodes in response to the first
electrical output signal, receive the bladder muscle signal at the
plurality of bladder muscle measurement electrodes, and generate
the notification based on the bladder volume signal and the bladder
muscle signal.
Inventors: |
Lawrence; Brian L. (Cincinnati,
OH), Agdeppa; Eric D. (Cincinnati, OH), Hood; Michael
S. (Batesville, IN), Fu; Yongji (Harrison, OH) |
Applicant: |
Name |
City |
State |
Country |
Type |
Hill-Rom Services, Inc. |
Batesville |
IN |
US |
|
|
Assignee: |
HILL-ROM SERVICES, INC.
(Batesville, IN)
|
Family
ID: |
60421137 |
Appl.
No.: |
15/601,390 |
Filed: |
May 22, 2017 |
Prior Publication Data
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Document
Identifier |
Publication Date |
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US 20170340259 A1 |
Nov 30, 2017 |
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Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
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62340814 |
May 24, 2016 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61B
5/0535 (20130101); A61B 5/1115 (20130101); A61B
5/04882 (20130101); A61B 5/204 (20130101); A61B
5/202 (20130101); A61B 5/6874 (20130101); A61B
5/746 (20130101); A61B 5/1118 (20130101) |
Current International
Class: |
A61B
5/20 (20060101); A61B 5/00 (20060101); A61B
5/0488 (20060101); A61B 5/11 (20060101) |
References Cited
[Referenced By]
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Other References
T Schlebusch et al., "Bladder volume estimation from electrical
impedance tomography", 2014, Physiol. Meas. 35 1813-1815. cited by
examiner .
Anne B. Chin et al., "Optimizing Measurement of the Electrical
Anisotropy of Muscle", Muscle Nerve. May 2008 ; 37(5): 560-565.
doi:10.1002/mus.20981. cited by examiner .
Cromwell, Marlena and Melda Hardison. Handbook of Electronic &
Analogue Circuits. vol. 1st ed, College Publishing House, 2012.
cited by examiner .
Ruesch et al, The Relation Between Electromyographic Measurement
and Subjective Reports of Muscular Relaxation, Psychosomatic
Medicine, 1943, vol. 5, 132-138. cited by applicant .
Tarulli et al, Electrical impedance myography in the bedside
assessment of inflammatory myopathy, Neurology, 2005, 451-452.
cited by applicant .
Gill et al, Feasibility of Fluid Volume Conductance to Assess
Bladder Volume, Wiley-Liss, Inc., Neurourology and Urodynamics,
2008, 525-531. cited by applicant .
Liao et al, Noninvasive electrical impedance analysis to measure
human urinary bladder volume, Journal of Obstetrics and Gynaecology
Research, 2011, vol. 37 No. 8, 1071-1075, Taiwan. cited by
applicant .
Garmirian et al, Discriminating Neurogenic From Myopathic Disease
via Measurement of Muscle Anisotropy, Mucle Nerve, 2009. cited by
applicant.
|
Primary Examiner: Koharski; Christopher
Assistant Examiner: Moss; James
Attorney, Agent or Firm: Dinsmore & Shohl LLP
Parent Case Text
CROSS REFERENCE TO RELATED APPLICATIONS
This application claims the benefit of U.S. Provisional Application
No. 62/340,814, entitled "SYSTEMS AND METHODS FOR GENERATING
NOTIFICATIONS BASED ON BLADDER VOLUME SIGNALS AND BLADDER MUSCLE
SIGNALS," filed May 24, 2016, the entirety of which is hereby
incorporated by reference.
Claims
What is claimed is:
1. A system for generating a notification based on a bladder volume
signal and a bladder muscle signal, the system comprising: a
processor; a plurality of bladder electrical signal application
electrodes communicatively coupled to the processor; a plurality of
bladder volume measurement electrodes communicatively coupled to
the processor; a plurality of bladder muscle measurement electrodes
communicatively coupled to the processor; a plurality of bladder
muscle electrical signal application electrodes communicatively
coupled to the processor; a memory module communicatively coupled
to the processor; and machine readable instructions stored in the
memory module that cause the system to perform at least the
following when executed by the processor: output a first electrical
output signal with the plurality of bladder electrical signal
application electrodes; receive the bladder volume signal at the
plurality of bladder volume measurement electrodes in response to
the first electrical output signal; output a second electrical
output signal with the plurality of bladder muscle electrical
signal application electrodes; receive the bladder muscle signal at
the plurality of bladder muscle measurement electrodes in response
to the second electrical output signal; measure a bladder volume
signal parameter of the bladder volume signal received at the
plurality of bladder volume measurement electrodes in response to
the first electrical output signal; measure a standard deviation of
the bladder muscle signals received at the plurality of bladder
muscle measurement electrodes; compare the bladder volume signal
parameter to a bladder volume signal threshold; compare the
standard deviation to a bladder muscle signal threshold; and
generate the notification related to impending urination in
response to the bladder volume signal parameter being greater than
the bladder volume signal threshold and the standard deviation
being greater than the bladder muscle signal threshold.
2. The system of claim 1, wherein: the second electrical output
signal is an alternating current voltage signal having a voltage
and a frequency; the bladder muscle signal is a bladder muscle
signal current, wherein, when executed by the processor, the
machine readable instructions further cause the system to:
determine a bladder muscle electrical impedance based on the
bladder muscle signal current; determine a bladder muscle activity
parameter based on a standard deviation of the bladder muscle
electrical impedance; and generate the notification based on the
bladder muscle activity parameter.
3. The system of claim 1, wherein: the second electrical output
signal has a current; the bladder muscle signal is a bladder muscle
signal voltage, wherein, when executed by the processor, the
machine readable instructions further cause the system to:
determine a bladder muscle electrical impedance based on the
bladder muscle signal voltage; determine a bladder muscle activity
parameter based on a standard deviation of the bladder muscle
electrical impedance; and generate the notification based on the
bladder muscle activity parameter.
4. The system of claim 1, wherein: the first electrical output
signal is an alternating current voltage signal having a first
voltage and a first frequency; the bladder volume signal parameter
is a bladder volume signal current, wherein, when executed by the
processor, the machine readable instructions further cause the
system to: determine a bladder electrical impedance based on the
bladder volume signal current; determine a bladder volume based on
the bladder electrical impedance; and generate the notification
based on the bladder volume.
5. The system of claim 4, wherein the first frequency is between 10
kHz and 100 kHz.
6. The system of claim 1, wherein: the first electrical output
signal has a first current; the bladder volume signal parameter is
a bladder volume signal voltage, wherein, when executed by the
processor, the machine readable instructions further cause the
system to: determine a bladder electrical impedance based on the
bladder volume signal voltage; determine a bladder volume based on
the bladder electrical impedance; and generate the notification
based on the bladder volume.
7. The system of claim 1, further comprising an inertial
measurement unit communicatively coupled to the processor, wherein
when executed by the processor the machine readable instructions
further cause the system to: receive an inertial measurement signal
from the inertial measurement unit; and generate the notification
based on the bladder volume signal, the bladder muscle signal, and
the inertial measurement signal.
8. The system of claim 1, further comprising a camera
communicatively coupled to the processor, wherein when executed by
the processor the machine readable instructions further cause the
system to: receive image data from the camera; and generate the
notification based on the bladder volume signal, the bladder muscle
signal, and the image data.
9. The system of claim 1, further comprising network interface
hardware communicatively coupled to the processor, wherein the
machine readable instructions, when executed by the processor,
further cause the system to transmit the notification to a portable
electronic device with the network interface hardware.
10. The system of claim 9, wherein the machine readable
instructions, when executed by the processor, further cause the
system to: determine a bladder volume based on the bladder volume
signal; determine a urine output parameter based on the bladder
volume; and transmit the urine output parameter to the portable
electronic device.
11. The system of claim 1, wherein the machine readable
instructions, when executed by the processor, further cause the
system to: calculate a confidence value based on the bladder volume
signal and the bladder muscle signal; generate a first notification
when the confidence value is less than a threshold; and generate a
second notification when the confidence value is greater than the
threshold, wherein the first notification and the second
notification are different.
12. The system of claim 1, wherein the machine readable
instructions stored in the memory module that cause the system to
perform at least the following when executed by the processor:
determine an occurrence of a first bladder void event based on the
received bladder volume signal; determine a first bladder void
parameter associated with the first bladder void event, wherein the
first bladder void parameter is determined based on the bladder
volume signal; determine an occurrence of a second bladder void
event based on the received bladder volume signal; determine a
second bladder void parameter associated with the second bladder
void event, wherein the second bladder void parameter is determined
based on the bladder volume signal; determine a first bladder void
parameter threshold based on the first bladder void parameter and
the second bladder void parameter; determine a first current
bladder void parameter based on the bladder volume signal; compare
the first current bladder void parameter to the first bladder void
parameter threshold; and generate a notification based on the
comparison of the first current bladder void parameter and the
first bladder void parameter threshold.
13. The system of claim 12, wherein the first bladder void
parameter threshold is representative of a holding capacity of an
individual's bladder.
14. The system of claim 12, wherein the machine readable
instructions, when executed by the processor, further cause the
system to: determine the first bladder void parameter threshold by
averaging the first bladder void parameter and the second bladder
void parameter.
Description
TECHNICAL FIELD
The present specification generally relates to systems and methods
for providing notifications and, more specifically, to systems and
methods for generating notifications based on bladder volume
signals and bladder muscle signals.
BACKGROUND
Patients in hospitals and other care settings may spend a
substantial amount of time in beds. It may be difficult or unsafe
for some patients to exit the beds without assistance in order to
perform a variety of activities. For example, it may be unsafe due
to a risk of fall or injury for some patients to exit the bed
without assistance when the patient has an urge to urinate. It may
be desirable to generate a notification that the patient may need
to exit the bed to urinate before the patient does so without
assistance.
Accordingly, a need exists for systems and methods for generating
notifications based on bladder volume signals and bladder muscle
signals.
SUMMARY
In one embodiment, a system for generating a notification based on
a bladder volume signal and a bladder muscle signal includes a
processor, a plurality of bladder electrical signal application
electrodes communicatively coupled to the processor, a plurality of
bladder volume measurement electrodes communicatively coupled to
the processor, a plurality of bladder muscle measurement electrodes
communicatively coupled to the processor, a memory module
communicatively coupled to the processor, and machine readable
instructions stored in the memory module. When executed by the
processor, the machine readable instructions cause the system to
output a first electrical output signal with the plurality of
bladder electrical signal application electrodes, receive the
bladder volume signal at the plurality of bladder volume
measurement electrodes in response to the first electrical output
signal, receive the bladder muscle signal at the plurality of
bladder muscle measurement electrodes, and generate the
notification based on the bladder volume signal and the bladder
muscle signal.
In another embodiment, a system for generating a notification based
on a comparison of a current bladder void parameter and a bladder
void parameter threshold includes a processor, a plurality of
bladder electrical signal application electrodes communicatively
coupled to the processor, a plurality of bladder volume measurement
electrodes communicatively coupled to the processor, a memory
module communicatively coupled to the processor, and machine
readable instructions stored in the memory module. When executed by
the processor, the machine readable instructions cause the system
to output a first electrical output signal with the plurality of
bladder electrical signal application electrodes, receive a bladder
volume signal at the plurality of bladder volume measurement
electrodes in response to the first electrical output signal,
determine a first bladder void event based on the received bladder
volume signal, and determine a first bladder void parameter
associated with the first bladder void event. The first bladder
void parameter is determined based on the bladder volume signal.
When executed by the processor, the machine readable instructions
further cause the system to determine a second bladder void event
based on the received bladder volume signal, and determine a second
bladder void parameter associated with the second bladder void
event. The second bladder void parameter is determined based on the
bladder volume signal. When executed by the processor, the machine
readable instructions further cause the system to determine a first
bladder void parameter threshold based on the first bladder void
parameter and the second bladder void parameter, determine a first
current bladder void parameter based on the bladder volume signal,
compare the first current bladder void parameter to the first
bladder void parameter threshold, and generate a notification based
on the comparison of the first current bladder void parameter and
the first bladder void parameter threshold.
In yet another embodiment, a system for generating a notification
based on a bladder volume signal and a bladder muscle signal
includes a processor, a plurality of bladder electrical signal
application electrodes communicatively coupled to the processor, a
plurality of bladder volume measurement electrodes communicatively
coupled to the processor, a plurality of bladder muscle electrical
signal application electrodes communicatively coupled to the
processor, a plurality of bladder muscle measurement electrodes
communicatively coupled to the processor, network interface
hardware communicatively coupled to the processor, a memory module
communicatively coupled to the processor, and machine readable
instructions stored in the memory module. When executed by the
processor, the machine readable instructions cause the system to
output a first electrical output signal with the plurality of
bladder electrical signal application electrodes, receive the
bladder volume signal at the plurality of bladder volume
measurement electrodes in response to the first electrical output
signal, output a second electrical output signal with the plurality
of bladder muscle electrical signal application electrodes, receive
the bladder muscle signal at the plurality of bladder muscle
measurement electrodes in response to the second electrical output
signal, generate the notification based on the bladder volume
signal and the bladder muscle signal, and transmit the notification
to a portable electronic device.
These and additional features provided by the embodiments of the
present disclosure will be more fully understood in view of the
following detailed description, in conjunction with the
drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
The embodiments set forth in the drawings are illustrative and
exemplary in nature and not intended to limit the disclosure. The
following detailed description of the illustrative embodiments can
be understood when read in conjunction with the following drawings,
where like structure is indicated with like reference numerals and
in which:
FIG. 1 schematically depicts a system including a number of
electrodes, sensors, and electronic components, according to one or
more embodiments shown and described herein;
FIG. 2 schematically depicts a bladder volume measurement unit with
electrodes applied to a tissue region to measure a bladder volume,
according to one or more embodiments shown and described
herein;
FIG. 3 schematically depicts a bladder muscle measurement unit with
electrodes applied to a tissue region to measure a bladder muscle
characteristic, according to one or more embodiments shown and
described herein;
FIG. 4 schematically depicts a flowchart of a method for generating
a notification based on a bladder volume signal and a bladder
muscle signal, according to one or more embodiments shown and
described herein; and
FIG. 5 schematically depicts a bladder volume signal waveform and a
bladder muscle signal waveform, according to one or more
embodiments shown and described herein.
DETAILED DESCRIPTION
The embodiments disclosed herein include systems and methods for
generating notifications based on bladder volume signals and
bladder muscle signals. Systems and methods for generating
notifications based on a comparison of a current bladder void
parameter and a bladder void parameter threshold are also
disclosed. Referring generally to FIG. 1, a system includes a
plurality of bladder electrical signal application electrodes
communicatively coupled to the processor, a plurality of bladder
volume measurement electrodes communicatively coupled to the
processor, and a plurality of bladder muscle measurement electrodes
communicatively coupled to the processor. The system outputs a
first electrical output signal with the plurality of bladder
electrical signal application electrodes, receives the bladder
volume signal at the plurality of bladder volume measurement
electrodes in response to the first electrical output signal,
receives the bladder muscle signal at the plurality of bladder
muscle measurement electrodes, and generates the notification based
on the bladder volume signal and the bladder muscle signal. By
generating a notification (e.g., a notification indicative of a
predicted bed exit, a predicted need for a person to urinate, or
the like) based on both of the bladder volume signal and the
bladder muscle signal, reliability of the notification may be
increased as compared to a system that utilizes only one of the
bladder muscle signal and the bladder volume signal since a system
that only utilizes one signal could result in the generation of
false notifications. The various systems and methods for generating
notifications based on bladder volume signals and bladder muscle
signals and systems and methods for generating notifications based
on a comparison of a current bladder void parameter and a bladder
void parameter threshold will be described in more detail herein
with specific reference to the corresponding drawings.
Referring now to FIG. 1, one embodiment of a system 100 is
schematically depicted. The system 100 includes a communication
path 120, one or more processors 130, one or more memory modules
132, one or more displays 134, one or more inertial measurement
units 136, tactile input hardware 138, one or more speakers 140,
one or more microphones 142, one or more cameras 144, network
interface hardware 146, one or more power sources 160, one or more
charging ports 162, a bladder volume measurement unit 170, and a
bladder muscle measurement unit 180. The various components of the
system 100 and the interaction thereof will be described in detail
below.
Still referring to FIG. 1, the communication path 120 may be formed
from any medium that is capable of transmitting a signal such as,
for example, conductive wires, conductive traces, optical
waveguides, or the like. Moreover, the communication path 120 may
be formed from a combination of mediums capable of transmitting
signals. In one embodiment, the communication path 120 comprises a
combination of conductive traces, conductive wires, connectors, and
buses that cooperate to permit the transmission of electrical data
signals to components such as processors, memories, sensors, input
devices, output devices, and communication devices. Accordingly,
the communication path 120 may comprise a bus. Additionally, it is
noted that the term "signal" means a waveform (e.g., electrical,
optical, magnetic, mechanical or electromagnetic), such as DC, AC,
sinusoidal-wave, triangular-wave, square-wave, vibration, and the
like, capable of traveling through a medium. The communication path
120 communicatively couples the various components of the system
100. As used herein, the term "communicatively coupled" means that
coupled components are capable of exchanging data signals with one
another such as, for example, electrical signals via conductive
medium, electromagnetic signals via air, optical signals via
optical waveguides, and the like.
Each of the one or more processors 130 of the system 100 may be any
device capable of executing machine readable instructions.
Accordingly, each of the one or more processors 130 may be a
controller, an integrated circuit, a microchip, a computer, or any
other computing device. Each of the one or more processors 130 is
communicatively coupled to the other components of the system 100
by the communication path 120. Accordingly, the communication path
120 may communicatively couple any number of processors with one
another, and allow the components coupled to the communication path
120 to operate in a distributed computing environment.
Specifically, each of the components may operate as a node that may
send and/or receive data.
Each of the one or more memory modules 132 of the system 100 is
coupled to the communication path 120 and communicatively coupled
to the one or more processors 130. Each of the one or more memory
modules 132 may comprise RAM, ROM, flash memories, hard drives, or
any device capable of storing machine readable instructions such
that the machine readable instructions can be accessed and executed
by the one or more processors 130. The machine readable
instructions may comprise logic or algorithm(s) written in any
programming language of any generation (e.g., 1GL, 2GL, 3GL, 4GL,
or 5GL) such as, for example, machine language that may be directly
executed by the one or more processors 130, or assembly language,
object-oriented programming (OOP), scripting languages, microcode,
etc., that may be compiled or assembled into machine readable
instructions and stored in the one or more memory modules 132.
Alternatively, the machine readable instructions may be written in
a hardware description language (HDL), such as logic implemented
via either a field-programmable gate array (FPGA) configuration or
an application-specific integrated circuit (ASIC), or their
equivalents. Accordingly, the functionality described herein may be
implemented in any conventional computer programming language, as
pre-programmed hardware elements, or as a combination of hardware
and software components.
Each of the one or more displays 134 is coupled to the
communication path 120 and communicatively coupled to the one or
more processors 130. Each of the one or more displays 134 may be
any device capable of providing visual output. Each of the one or
more displays 134 may include any medium capable of transmitting an
optical output such as, for example, a cathode ray tube, light
emitting diodes, a liquid crystal display, a plasma display, or the
like. In some embodiments, the one or more displays 134 may include
a touchscreen that, in addition to providing optical information,
detects the presence and location of a tactile input upon a surface
of or adjacent to the display. In such embodiments, the touchscreen
may receive mechanical input directly upon the optical output
provided by the display. In some embodiments, the one or more
displays 134 includes a three dimensional tactile display including
a surface, portions of which may raise to communicate information.
Additionally, it is noted that each of the one or more displays 134
can include at least one processor or memory module. Some
embodiments of the system 100 may not include the one or more
displays 134.
Each of the one or more inertial measurement units 136 is coupled
to the communication path 120 and communicatively coupled to the
one or more processors 130. Each of the one or more inertial
measurement units 136 may include one or more accelerometers and
one or more gyroscopes. Each of the one or more inertial
measurement units 136 transforms sensed physical movement of the
system 100 into a signal indicative of an orientation, a rotation,
a velocity, or an acceleration of the system 100. Some embodiments
of the system 100 may not include the one or more inertial
measurement units 136, such as embodiments that include an
accelerometer but not a gyroscope, embodiments that include a
gyroscope but not an accelerometer, or embodiments that include
neither an accelerometer nor a gyroscope. Some embodiments may not
include an accelerometer or a gyroscope.
Still referring to FIG. 1, the tactile input hardware 138 is
coupled to the communication path 120 and communicatively coupled
to the one or more processors 130. The tactile input hardware 138
may be any device capable of transforming mechanical pressure (e.g,
the pressure from a user contacting the tactile input hardware 138)
into a data signal that can be transmitted over the communication
path 120 such as, for example, a button, a switch, a knob, a
microphone or the like. In some embodiments, the tactile input
hardware 138 includes a power button, a volume button, an
activation button, a scroll button, or the like. In some
embodiments, the tactile input hardware 138 includes a pressure
sensor, a touch strip, a pressure strip, or the like. Some
embodiments may not include the tactile input hardware 138.
Each of the one or more speakers 140 is coupled to the
communication path 120 and communicatively coupled to the one or
more processors 130. Each of the one or more speakers 140
transforms data signals from the system 100 into audible mechanical
vibrations. However, it should be understood that in other
embodiments the system 100 may not include the one or more speakers
140.
Each of the one or more microphones 142 is coupled to the
communication path 120 and communicatively coupled to the one or
more processors 130. Each of the one or more microphones 142 may be
any device capable of transforming a mechanical vibration
associated with sound into an electrical signal indicative of the
sound. Some embodiments may not include the one or more microphones
142.
Each of the one or more cameras 144 is coupled to the communication
path 120 and communicatively coupled to the one or more processors
130. Each of the one or more cameras 144 may be any device having
an array of sensing devices (e.g., pixels) capable of detecting
radiation in an ultraviolet wavelength band, a visible light
wavelength band, or an infrared wavelength band. Each of the one or
more cameras 144 may have any resolution. The one or more cameras
144 may include an omni-directional camera, or a panoramic camera.
In some embodiments, one or more optical components, such as a
mirror, fish-eye lens, or any other type of lens may be optically
coupled to at least one of the one or more cameras 144. Some
embodiments may not include the one or more cameras 144.
The network interface hardware 146 is coupled to the communication
path 120 and communicatively coupled to the one or more processors
130. The network interface hardware 146 may be any device capable
of transmitting and/or receiving data via a network 110.
Accordingly, the network interface hardware 146 can include a
communication transceiver for sending and/or receiving any wired or
wireless communication. For example, the network interface hardware
146 may include an antenna, a modem, LAN port, Wi-Fi card, WiMax
card, mobile communications hardware, near-field communication
hardware, satellite communication hardware and/or any wired or
wireless hardware for communicating with other networks and/or
devices. In some embodiments, the network interface hardware 146
includes hardware configured to operate in accordance with the
BLUETOOTH wireless communication protocol. In some embodiments, the
network interface hardware 146 may include a BLUETOOTH send/receive
module for sending and receiving BLUETOOTH communications to/from a
portable electronic device 190. Some embodiments may not include
the network interface hardware 146.
The system 100 is powered by the one or more power sources 160,
each of which is electrically coupled to the various electrical
components of the system 100. Each of the one or more power sources
160 may be any device capable of providing energy for user by the
system 100. In some embodiments, the one or more power sources 160
may include a power supply that transforms electrical power
provided from a wall outlet to electrical energy used to power the
system 100. In some embodiments, the one or more power sources 160
include one or more batteries for storing electric energy for later
use by the system 100. In some embodiments, the one or more
batteries may include a rechargeable battery, such as a lithium-ion
battery or a nickel-cadmium battery. In embodiments in which the
one or more batteries include a rechargeable battery, the system
100 may include the one or more charging ports 162, each of which
may be used to charge the one or more batteries. Some embodiments
may not include the one or more batteries, such as embodiments in
which the system 100 is powered by solar energy or energy harvested
from the environment. Some embodiments may not include the one or
more charging ports 162, such as embodiments in which the imaging
device utilizes disposable batteries for power or is powered via a
wall plug.
Still referring to FIG. 1, the bladder volume measurement unit 170
includes a measurement circuit 171, a signal generation circuit
173, a plurality of bladder electrical signal application
electrodes 172a, 172b, and a plurality of bladder volume
measurement electrodes 174a, 174b. The bladder volume measurement
unit 170 and the components thereof are coupled to the
communication path 120 and communicatively coupled to the one or
more processors 130. The plurality of bladder electrical signal
application electrodes 172a, 172b includes a first bladder
electrical signal application electrode 172a and a second bladder
electrical signal application electrode 172b, which are coupled to
the signal generation circuit 173, though some embodiments may only
include one bladder electrical signal application electrode or more
than two bladder electrical signal application electrodes. The
plurality of bladder volume measurement electrodes 174a, 174b
includes a first bladder volume measurement electrode 174a and a
second bladder volume measurement electrode 174b, which are coupled
to the measurement circuit 171. Some embodiments may only include
one bladder volume measurement electrode or more than two bladder
volume measurement electrodes. The measurement circuit 171 includes
one or more electrical components configured to measure one or more
parameters of a bladder volume signal received at the plurality of
bladder volume measurement electrodes 174a, 174b. The signal
generation circuit 173 includes one or more electrical components
configured to output an electrical signal with the plurality of
bladder electrical signal application electrodes 172a, 172b. Some
embodiments may not include the signal generation circuit 173 and
the plurality of bladder electrical signal application electrodes
172a, 172b, such as embodiments that measure one or more parameters
of a bladder volume signal received at the plurality of bladder
volume measurement electrodes 174a, 174b without first outputting a
signal with the signal generation circuit 173, the response to
which is measured with the measurement circuit 171. Furthermore,
some embodiments may use the measurement circuit 171 and the
plurality of bladder volume measurement electrodes 174a, 174b to
both output an electrical signal and to receive the bladder volume
signal in response to the output signal.
Still referring to FIG. 1, the bladder muscle measurement unit 180
includes a measurement circuit 181, a signal generation circuit
183, a plurality of bladder muscle electrical signal application
electrodes 182a, 182b, and a plurality of bladder muscle
measurement electrodes 184a, 184b. The bladder muscle measurement
unit 180 and the components thereof are coupled to the
communication path 120 and communicatively coupled to the one or
more processors 130. The plurality of bladder muscle electrical
signal application electrodes 182a, 182b includes a first bladder
muscle electrical signal application electrode 182a and a second
bladder muscle electrical signal application electrode 182b, which
are coupled to the signal generation circuit 183, though some
embodiments may only include one bladder muscle electrical signal
application electrode or more than two bladder muscle electrical
signal application electrodes. The plurality of bladder muscle
measurement electrodes 184a, 184b includes a first bladder muscle
measurement electrode 184a and a second bladder muscle measurement
electrode 184b, which are coupled to the measurement circuit 181,
though some embodiments may only include one bladder muscle
measurement electrode or more than two bladder muscle measurement
electrodes. The measurement circuit 181 includes one or more
electrical components configured to measure one or more parameters
of a bladder muscle signal received at the plurality of bladder
muscle measurement electrodes 184a, 184b. The signal generation
circuit 183 includes one or more electrical components configured
to output an electrical signal with the plurality of bladder muscle
electrical signal application electrodes 182a, 182b. Some
embodiments may not include the signal generation circuit 183 and
the plurality of bladder muscle electrical signal application
electrodes 182a, 182b, such as embodiments that measure one or more
parameters of a bladder muscle signal received at the plurality of
bladder muscle measurement electrodes 184a, 184b without first
outputting a signal with the signal generation circuit 183, the
response to which is measured with the measurement circuit 181.
Furthermore, some embodiments may use the measurement circuit 181
and the plurality of bladder muscle measurement electrodes 184a,
184b to both output an electrical signal and to receive the bladder
muscle signal in response to the output signal.
Still referring to FIG. 1, in some embodiments, the system 100 may
be communicatively coupled to a portable electronic device 190 and
a remote computing device 192 via a network 110. In some
embodiments, the network 110 is a personal area network that
utilizes BLUETOOTH technology to communicatively couple the system
100, the portable electronic device 190 and the remote computing
device 192. In other embodiments, the network 110 may include one
or more computer networks (e.g., a personal area network, a local
area network, or a wide area network), cellular networks, satellite
networks and/or a global positioning system and combinations
thereof. Accordingly, the system 100 can be communicatively coupled
to the network 110 via wires, via a wide area network, via a local
area network, via a personal area network, via a cellular network,
via a satellite network, or the like. Suitable local area networks
may include wired. Ethernet and/or wireless technologies such as,
for example, wireless fidelity (Wi-Fi). Suitable personal area
networks may include wireless technologies such as, for example,
IrDA, BLUETOOTH, Wireless USB, Z-Wave, ZigBee, and/or other near
field communication protocols. Suitable personal area networks may
similarly include wired computer buses such as, for example, USB
and FireWire. Suitable cellular networks include, but are not
limited to, technologies such as LIE, WiMAX, UMTS, CDMA, and
GSM.
As stated above, the network 110 may be utilized to communicatively
couple the system 100 with the portable electronic device 190 and
the remote computing device 192. Each of the portable electronic
device 190 and the remote computing device 192 may be a computing
device including one or more processors and one or more memory
modules, and network interface hardware. In some embodiments, the
portable electronic device 190 may be a portable device, such as a
mobile phone, a smartphone, a personal digital assistant, a
dedicated mobile media player, a mobile personal computer, a laptop
computer, and/or any other portable electronic device capable of
being communicatively coupled with the system 100. In some
embodiments, the portable electronic device 190 may be transported
by a caregiver or nurse of a patient. In some embodiments, the
remote computing device 192 may be a computing system remote from
the system 100, such as a computing device at a nurse station, or
the like. Each of the portable electronic device 190 and the remote
computing device 192 may include one or more processors and one or
more memories. The one or more processors can execute logic to
communicate with the system 100. The portable electronic device 190
and the remote computing device may be configured with wired and/or
wireless communication functionality for communicating with the
system 100. In some embodiments, the portable electronic device 190
and/or the remote computing device 192 may perform one or more
elements of the functionality described herein, such as in
embodiments in which the functionality described herein is
distributed between the system 100, the portable electronic device
190, and/or the remote computing device 192.
Referring now to FIG. 2, the bladder volume measurement unit 170 is
shown with electrodes coupled to a tissue region 202 in order to
measure a bladder volume of a bladder 204. The electrodes may be
placed in a variety of locations of a patient. In some embodiments,
such as what is depicted in FIG. 2, the electrodes may be applied
to the skin of the patient at locations such that the bladder 204
is disposed between the first bladder electrical signal application
electrode 172a and the second bladder electrical signal application
electrode 172b, and such that the bladder 204 is disposed between
the first bladder volume measurement electrode 174a and the second
bladder volume measurement electrode 174b. A bladder volume signal
is received at the plurality of bladder volume measurement
electrodes 174a, 174b and processed by the measurement circuit 171
that is coupled to the plurality of bladder volume measurement
electrodes. In some embodiments, the received bladder volume signal
is processed in order to determine a bladder volume, as will be
described in further detail below.
Still referring to FIG. 2, in some embodiments, a first electrical
output signal is generated with the signal generation circuit 173
and output with the plurality of bladder electrical signal
application electrodes 172a, 172b. The first electrical output
signal may be an electrical signal of any type. For example, the
first electrical output signal may be an alternating current signal
having a constant peak-to-peak voltage, an alternating current
signal having a constant current, an alternating current signal
having a varying peak-to-peak voltage, an alternating current
signal having a varying current, an alternating signal having a
constant frequency, an alternating current signal having a varying
frequency, a direct current signal having a constant voltage, a
direct current signal having a constant current, a direct current
signal having a varying voltage, a direct current signal having a
varying current, or the like. The first electrical output signal
may be a sine wave signal, a square wave signal, a triangular
signal, or any other waveform. In embodiments that output the first
electrical output signal, the bladder volume signal may be received
at the plurality of bladder volume measurement electrodes 174a,
174b in response to the first electrical output signal. In some
embodiments that output the first electrical output signal, the
first electrical output signal may be an alternating current
voltage signal having a first voltage and a first frequency. In
some embodiments, the first frequency may be between 10 kHz and 100
kHz, though other embodiments may output signals having different
frequencies.
Still referring to FIG. 2, the bladder volume signal received at
the plurality of bladder volume measurement electrodes 174a, 174b
may be processed to determine the bladder volume. In some
embodiments, a bladder volume signal parameter of the bladder
volume signal is measured. The bladder volume signal parameter may
be a voltage of the bladder volume signal, a current of the bladder
volume signal, a standard deviation of the bladder volume signal, a
frequency of the bladder volume signal, or any other signal
parameter. For example, in some embodiments, the bladder volume
signal parameter is a bladder volume signal current. A bladder
electrical impedance may be determined based on the bladder volume
signal current, such as by calculating the bladder electrical
impedance as a function of the bladder volume signal current and
one or more characteristics (e.g., voltage, frequency, etc.) of the
first electrical output signal. The bladder volume may be
determined based on the calculated or determined electrical
impedance (e.g., based on a mapping or equation that determines
bladder volume from a calculated or determined bladder electrical
impedance). By way of another non-limiting example, in some
embodiments, the bladder volume signal parameter is a bladder
volume signal voltage. A bladder electrical impedance may be
determined based on the bladder volume signal voltage, such as by
calculating the bladder electrical impedance as a function of the
bladder volume signal voltage and one or more characteristics
(e.g., current) of the first electrical output signal. The bladder
volume may be determined based on the calculated or determined
electrical impedance (e.g., based on a mapping or equation that
determines bladder volume from a calculated or determined bladder
electrical impedance).
Still referring to FIG. 2, in some embodiments that output the
first electrical output signal with the plurality of bladder
electrical signal application electrodes 172a, 172b, the first
electrical output signal may be a constant current signal and the
bladder volume may be determined based on a measured voltage of the
bladder volume signal received at the plurality of bladder volume
measurement electrodes 174a, 174b, such as by calculating an
impedance based on the measured voltage, and determining the
bladder volume based on the calculated impedance. In some
embodiments that output the first electrical output signal with the
plurality of bladder electrical signal application electrodes 172a,
172b, the first electrical output signal may be a constant voltage
signal and bladder volume may be determined based on a measured
current of the bladder volume signal received at the plurality of
bladder volume measurement electrodes 174a, 174b, such as by
calculating an impedance based on the measured current, and
determining the bladder volume based on the calculated
impedance.
Referring now to FIG. 3, the bladder muscle measurement unit 180 is
shown with electrodes coupled to a tissue region 302 in order to
measure a bladder muscle activity parameter of a bladder muscle
304. The electrodes may be placed in a variety of locations of a
patient. In some embodiments, such as what is depicted in FIG. 3,
the electrodes may be applied to the skin of the patient at
locations such that the bladder muscle 304 is disposed between the
first bladder muscle electrical signal application electrode 182a
and the second bladder muscle electrical signal application
electrode 182b, and such that the bladder muscle 304 is disposed
between the first bladder muscle measurement electrode 184a and the
second bladder muscle measurement electrode 184b. A bladder muscle
signal is received at the plurality of bladder muscle measurement
electrodes 184a, 184b and processed by the measurement circuit 181
that is coupled to the plurality of bladder muscle measurement
electrodes 184a, 184b. In some embodiments, the received bladder
muscle signal is processed in order to determine a bladder muscle
activity parameter, as will be described in further detail
below.
Still referring to FIG. 3, in some embodiments, a second electrical
output signal is generated with the signal generation circuit 183
and output with the plurality of bladder muscle electrical signal
application electrodes 182a, 182b. The second electrical output
signal may be an electrical signal of any type. For example, the
second electrical output signal may be an alternating current
signal having a constant peak-to-peak voltage, an alternating
current signal having a constant current, an alternating current
signal having a varying peak-to-peak voltage, an alternating
current signal having a varying current, an alternating signal
having a constant frequency, an alternating current signal having a
varying frequency, a direct current signal having a constant
voltage, a direct current signal having a constant current, a
direct current signal having a varying voltage, a direct current
signal having a varying current, or the like. The second electrical
output signal may be a sine wave signal, a square wave signal, a
triangular signal, or any other waveform. In embodiments that
output the second electrical output signal, the bladder muscle
signal may be received at the plurality of bladder muscle
measurement electrodes 184a, 184b in response to the second
electrical output signal. In some embodiments that output the
second electrical output signal, the second electrical output
signal may be an alternating current voltage signal having a second
voltage and a second frequency. In some embodiments, the second
frequency may be between 10 kHz and 100 kHz, though other
embodiments may output signals having different frequencies.
Still referring to FIG. 3, the bladder muscle signal received at
the plurality of bladder muscle measurement electrodes 184a, 184b
may be processed to determine the bladder muscle activity
parameter. In some embodiments, a bladder muscle signal parameter
of the bladder muscle signal is measured. The bladder muscle signal
parameter may be a voltage of the bladder muscle signal, a current
of the bladder muscle signal, a standard deviation of the bladder
muscle signal, a frequency of the bladder muscle signal, or any
other signal parameter. For example, in some embodiments, the
bladder muscle signal parameter is a bladder muscle signal current.
A bladder muscle electrical impedance may be determined based on
the bladder muscle signal current, such as by calculating the
bladder muscle electrical impedance as a function of the bladder
muscle signal current and one or more characteristics (e.g.,
voltage, frequency, etc.) of the second electrical output signal.
The bladder muscle activity parameter may be determined based on
the calculated or determined electrical impedance (e.g., based on a
mapping or equation that determines the bladder muscle activity
parameter from a calculated or determined bladder muscle electrical
impedance). By way of another non-limiting example, in some
embodiments, the bladder muscle signal parameter is a bladder
muscle signal voltage. A bladder muscle electrical impedance may be
determined based on the bladder muscle signal voltage, such as by
calculating the bladder muscle electrical impedance as a function
of the bladder muscle signal voltage and one or more
characteristics (e.g., current) of the second electrical output
signal. The bladder muscle activity parameter may be determined
based on the calculated or determined bladder muscle electrical
impedance (e.g., based on a mapping or equation that determines the
bladder muscle activity parameter from a calculated or determined
bladder muscle electrical impedance).
Still referring to FIG. 3, in some embodiments that output the
second electrical output signal with the plurality of bladder
muscle electrical signal application electrodes 182a, 182b, the
second electrical output signal may be a constant current signal
and the bladder muscle activity parameter may be determined based
on a measured voltage of the bladder muscle signal received at the
plurality of bladder muscle measurement electrodes 184a, 184b, such
as by calculating an impedance based on the measured voltage, and
determining the bladder muscle activity parameter based on the
calculated impedance. In some embodiments that output the second
electrical output signal with the plurality of bladder muscle
electrical signal application electrodes 182a, 182b, the second
electrical output signal may be a constant voltage signal and the
bladder muscle activity parameter may be determined based on a
measured current of the bladder muscle signal received at the
plurality of bladder muscle measurement electrodes 184a, 184b, such
as by calculating an impedance based on the measured current, and
determining the bladder muscle activity parameter based on the
calculated impedance. Some embodiments may calculate the bladder
muscle activity parameter based on a standard deviation of the
bladder muscle signal received at the plurality of bladder muscle
measurement electrodes 184a, 184b, such as embodiments in which a
high bladder muscle activity parameter is determined when the
standard deviation is a first value and a low bladder muscle
activity parameter is determined when the standard deviation is a
second value that is less than the first value.
In some embodiments, electrical impedance myography (EIM) and/or
electromyography (EMG) techniques may be employed by the bladder
muscle measurement unit 180 in order to determine the bladder
muscle activity parameter.
Referring now to FIG. 4 in conjunction with FIGS. 1-3, a method 400
for generating a notification based on a bladder volume signal and
a bladder muscle signal is schematically depicted. Although the
steps associated with the blocks of FIG. 4 will be described as
being separate tasks, in other embodiments, the blocks may be
combined or omitted. Further, while the steps associated with the
blocks of FIG. 4 will be described as being performed in a
particular order, in other embodiments, the steps may be performed
in a different order.
Still referring to FIG. 4, at block 402, the machine readable
instructions stored in the one or more memory modules 132, when
executed by the one or more processors 130, cause the system 100 to
output a first electrical output signal with the plurality of
bladder electrical signal application electrodes 172a, 172b. The
first electrical output signal is generated by the signal
generation circuit 173 and output between the first bladder
electrical signal application electrode 172a and the second bladder
electrical signal application electrode 172b. The first electrical
output signal generated by the signal generation circuit 173 and
output between the first bladder electrical signal application
electrode 172a and the second bladder electrical signal application
electrode 172b may be any type of electrical signal generated in
any manner, including what is described above with reference to
FIG. 2. Some embodiments may not output the first electrical output
signal, such as embodiments that do not receive and process a
bladder volume signal at the plurality of bladder volume
measurement electrodes 174a, 174b in response to an output
electrical signal.
Still referring to FIG. 4, at block 404, the machine readable
instructions stored in the one or more memory modules 132, when
executed by the one or more processors 130, cause the system 100 to
receive a bladder volume signal at the plurality of bladder volume
measurement electrodes 174a, 174b. In some embodiments, the bladder
volume signal is received at the plurality of bladder volume
measurement electrodes 174a, 174b in response to the first
electrical output signal output between the plurality of bladder
electrical signal application electrodes 172a, 172b at block 402.
An example bladder volume signal 510 is shown in FIG. 5.
Referring once again to FIG. 4, at block 406, the machine readable
instructions stored in the one or more memory modules 132, when
executed by the one or more processors 130, cause the system 100 to
process the bladder volume signal received at block 404. Processing
the bladder volume signal may include filtering the bladder volume
signal, determining a characteristic of the bladder volume signal,
or measuring a bladder volume signal parameter of the bladder
volume signal. A measured or determined bladder volume signal
parameter may include a voltage of the bladder volume signal, a
current of the bladder volume signal, a standard deviation of the
bladder volume signal, a frequency of the bladder volume signal, or
any other signal parameter. The bladder volume signal may be
processed in any manner, including what is described above with
reference to FIG. 2. In some embodiments, the bladder volume signal
is processed by measuring a bladder volume signal parameter (e.g.,
a bladder volume signal voltage or bladder volume signal current),
determining a bladder electrical impedance based on the measured
bladder volume signal parameter (e.g., by calculating or
determining the bladder electrical impedance based on the bladder
volume signal voltage or the bladder volume signal current, as well
as the signal parameters, such as voltage or current, of the first
electrical output signal output by the plurality of bladder
electrical signal application electrodes 172a, 172b in embodiments
that output such a first electrical output signal), and determining
the bladder volume based on the bladder electrical impedance (e.g.,
by using a bladder volume vs. bladder electrical impedance map or
function).
In some embodiments that include processing the bladder volume
signal to determine the bladder volume as described above, the
machine readable instructions stored in the one or more memory
modules 132, when executed by the one or more processors 130, cause
the system 100 to determine a urine output parameter based on the
bladder volume, such as by calculating a difference between the
bladder volume at a previous time and the bladder volume determined
based on the bladder volume signal at a current time. In some
embodiments, the urine output parameter may be calculated as a
difference between a maximum determined bladder volume determined
at a first time and a minimum determined bladder volume determined
at a second time. In some embodiments, the system 100 transmits the
urine output parameter to the portable electronic device 190 and/or
the remote computing device 192, such as to allow a nurse or
caretaker to monitor the urine output of the patient.
Referring to FIG. 4, at block 408, the machine readable
instructions stored in the one or more memory modules 132, when
executed by the one or more processors 130, cause the system 100 to
output a second electrical output signal with the plurality of
bladder muscle electrical signal application electrodes 182a, 182b.
The second electrical output signal is generated by the signal
generation circuit 183 and output between the first bladder muscle
electrical signal application electrode 182a and the second bladder
muscle electrical signal application electrode 182b. The second
electrical output signal generated by the signal generation circuit
183 and output between the first bladder muscle electrical signal
application electrode 182a and the second bladder muscle electrical
signal application electrode 182b may be any type of electrical
signal generated in any manner, including what is described above
with reference to FIG. 3. Some embodiments may not output the
second electrical output signal, such as embodiments that do not
receive and process a bladder muscle signal at the plurality of
bladder muscle measurement electrodes 184a, 184b in response to an
output electrical signal.
Still referring to FIG. 4, at block 410, the machine readable
instructions stored in the one or more memory modules 132, when
executed by the one or more processors 130, cause the system 100 to
receive a bladder muscle signal at the plurality of bladder muscle
measurement electrodes 184a, 184b. In some embodiments, the bladder
muscle signal is received at the plurality of bladder muscle
measurement electrodes 184a, 184b in response to the second
electrical output signal output between the plurality of bladder
muscle electrical signal application electrodes 182a, 182b at block
412. An example bladder muscle signal 550 is shown in FIG. 5.
Referring once again to FIG. 4, at block 412, the machine readable
instructions stored in the one or more memory modules 132, when
executed by the one or more processors 130, cause the system 100 to
process the bladder muscle signal received at block 410. Processing
the bladder muscle signal may include filtering the bladder muscle
signal, determining a characteristic of the bladder muscle signal,
or measuring a bladder muscle signal parameter of the bladder
muscle signal. A measured or determined bladder muscle signal
parameter may include a voltage of the bladder muscle signal, a
current of the bladder muscle signal, a standard deviation of the
bladder muscle signal, a frequency of the bladder muscle signal, or
any other signal parameter. The bladder muscle signal may be
processed in any manner, including what is described above with
reference to FIG. 3. In some embodiments, the bladder muscle signal
is processed by measuring a bladder muscle signal parameter (e.g.,
a bladder muscle signal standard deviation, a bladder muscle signal
voltage, a bladder muscle signal current, etc.), determining a
bladder muscle electrical impedance based on the measured bladder
muscle signal parameter (e.g., by calculating or determining the
bladder muscle electrical impedance based on the bladder muscle
signal voltage or the bladder muscle signal current, as well as the
signal parameters, such as voltage or current, of the second
electrical output signal output by the plurality of bladder muscle
electrical signal application electrodes 182a, 182b in embodiments
that output such a second electrical output signal), and
determining the bladder muscle activity parameter based on the
bladder muscle electrical impedance (e.g., by using a bladder
muscle activity parameter vs. bladder electrical impedance map or
function). In some embodiments, the bladder muscle activity
parameter is determined based on a standard deviation of the
bladder muscle signal, such as described above.
Still referring to FIG. 4, at block 414, the machine readable
instructions stored in the one or more memory modules 132, when
executed by the one or more processors 130, cause the system 100 to
generate a notification based on the bladder volume signal and the
bladder muscle signal. The notification may be indicative of a
predicted bed exit, a predicted need for a person to urinate, or
the like. In some embodiments, the notification is generated based
on a bladder volume signal parameter and a bladder muscle signal
parameter, which may be measured or determined as described above.
Some embodiments generate a notification by comparing a bladder
volume signal parameter to a threshold and comparing a bladder
muscle signal parameter to a threshold, and then generating the
notification based on the comparisons. Some embodiments may compare
a bladder volume signal voltage to a bladder volume signal voltage
threshold and generate the notification based on the comparison.
Some embodiments may compare a bladder volume signal current to a
bladder volume signal current threshold and generate the
notification based on the comparison. Some embodiments may compare
a bladder muscle signal voltage to a bladder muscle signal voltage
threshold and generate the notification based on the comparison.
Some embodiments may compare a bladder muscle signal current to a
bladder muscle signal current threshold and generate the
notification based on the comparison. Some embodiments may compare
a bladder muscle signal standard deviation to a bladder muscle
signal standard deviation threshold and generate the notification
based on the comparison.
Still referring to block 414 of FIG. 4, by way of non-limiting
example, some embodiments may generate the notification when the
bladder volume signal voltage is greater than a first threshold and
the bladder muscle signal standard deviation is greater than a
second threshold. By generating a notification indicative of a
predicted bed exit, a predicted need for a person to urinate, or
the like based on both of the bladder volume signal and the bladder
muscle signal, reliability of the notification may be increased as
compared to a system that utilizes only one of the bladder muscle
signal and the bladder volume signal since a system that only
utilizes one signal could result in the generation of false
notifications. For example, patient movement may cause a spike in
the bladder volume signal, which may result in the generation of a
false notification if bladder volume signal alone were used to
generate the notification. However, a system that utilizes both
bladder volume signal and the bladder muscle signal to generate the
notification may allow the system to filter out the spike in the
bladder volume signal and avoid the generation of a false
notification.
Still referring to block 414 of FIG. 4, in some embodiments that
determine a bladder volume from the bladder volume signal as
described above, the notification is generated based on the
determined bladder volume. Some embodiments generate a notification
by comparing a determined bladder volume to a bladder volume
threshold and generate the notification based on the comparison as
well as a comparison of a bladder muscle signal parameter to a
threshold or a comparison of a value calculated from the bladder
muscle signal to a threshold value. For example, some embodiments
generate the notification when the determined bladder volume is
greater than a threshold bladder volume and the standard deviation
of the bladder muscle signal is greater than a threshold. Some
embodiments generate a notification by comparing a difference
between a determined bladder volume and a prior bladder volume
(e.g., a predetermined bladder volume or a previously determined
bladder volume) to a bladder volume difference threshold and
generate the notification based on the comparison of the difference
to the threshold as well as a comparison of a bladder muscle signal
parameter to a threshold or a comparison of a value calculated from
the bladder muscle signal to a threshold value. For example, some
embodiments generate the notification when the determined bladder
volume difference is greater than a threshold bladder volume
difference and the standard deviation of the bladder muscle signal
is greater than a threshold. Some embodiments may generate the
notification based on a comparison of a determined bladder muscle
activity parameter with a threshold.
Still referring to block 414 of FIG. 4, in some embodiments that
determine a bladder electrical impedance from the bladder volume
signal as described above, the notification is generated based on
the determined bladder electrical impedance. Some embodiments
generate a notification by comparing a determined bladder
electrical impedance to a bladder electrical impedance threshold
and generate the notification based on the comparison as well as a
comparison of a bladder muscle signal parameter or value derived
from a bladder muscle signal parameter to a threshold. For example,
some embodiments generate the notification when the determined
bladder electrical impedance is less than a threshold bladder
electrical impedance and the standard deviation of the bladder
muscle signal is greater than a threshold.
Some embodiments may calculate a confidence value based on the
bladder volume signal and the bladder muscle signal, generate a
first notification when the confidence value is less than a
threshold, and generate a second notification when the confidence
value is greater than the threshold. For example, when both the
bladder volume signal and the bladder muscle signal indicates that
the bladder may be full (e.g., when the bladder volume signal has a
current or voltage associated with a high bladder volume and the
bladder muscle signal has a high standard deviation associated with
high bladder muscle activity corresponding to controlling a
relatively full bladder), the confidence value may be determined to
be a first value greater than the threshold. When the bladder
volume signal and the bladder muscle signal disagree (e.g., when
the bladder volume signal has a current or voltage associated with
a high bladder volume and the bladder muscle signal has a low
standard deviation associated with low bladder muscle activity
corresponding to a relaxed state), the confidence value may be
determined to be a second value that is less than the first value
and less than the threshold. In such a case where the bladder
volume signal and the bladder muscle signal disagree, using only
one of the signals alone is less reliable and using both signals
together increases reliability of a predicted bed exit or predicted
need for a person to urinate. For example, patient movement may
cause a spike in the bladder volume signal that is not associated
with a full bladder, and utilizing the bladder muscle signal as a
secondary channel may allow the system to confidently determine
whether a bed exit can be reliably predicted. In some embodiments,
the first notification generated when the confidence value is less
than a threshold may be a simple alert or prompt issued to the
patient (e.g. with the one or more speakers 140 and/or the one or
more displays 134). Once alerted or prompted, the patient may then
request that a caregiver or nurse be alerted so that the caregiver
or nurse may take the patient to the restroom if necessary, thereby
mitigating the risk of a fall or injury. The patient may request
that the caregiver or nurse be alerted by providing input to the
system 100 via the tactile input hardware 138 (e.g., by
manipulating a "call" button or the like), via the one or more
microphones 142 (e.g., by issuing a voice command to the system),
or in any other manner. In some embodiments, the second
notification generated when the confidence value is greater than
the threshold may be a notification to a caregiver or nurse, which
may be transmitted from the system 100 with the network interface
hardware 146, received by the portable electronic device 190 and/or
the remote computing device 192, which provides the notification to
the caregiver or nurse via one or more speakers or display devices
of the portable electronic device 190 and/or the remote computing
device 192. Once the caregiver or nurse is alerted, the caregiver
or nurse can check on the patient and take the patient to the
restroom if necessary, thereby mitigating the risk of a fall or
injury. In some embodiments, the notification may be generated in
response to determining that a patient may need to urinate within a
predetermined amount of time, such as within 90 seconds, within 10
minutes, or the like.
The various thresholds described above for determining when to
generate a notification indicative of a predicted bed exit arising
from an individual having an urge to urinate varies among people
and among circumstances. Some embodiments may set one or more
thresholds used for generating notifications by monitoring
conditions and parameters during a plurality of bladder fill and
void cycles. For example, when bladder electrical impedance is used
to generate the notification, a threshold bladder electrical
impedance may be determined by monitoring a minimum bladder
electrical impedance among a plurality of bladder fill and void
cycles and then determining a threshold bladder electrical
impedance based on the minimum bladder electrical impedances among
the plurality of bladder fill and void cycles, such as by averaging
the minimum bladder electrical impedances. The threshold bladder
electrical impedance may be representative of a holding capacity of
an individual's bladder and may be used to generate notifications
indicative of a predictive need for the individual to urinate
(e.g., by comparing a calculated bladder electrical impedance at a
current time to the threshold bladder electrical impedance and
generating the notification based, at least in part, on determining
that the calculated bladder electrical impedance is less than the
threshold bladder electrical impedance or differs from the
threshold bladder electrical impedance by less than a threshold
amount). By way of another example, when bladder volume signal
voltage is used to generate the notification, a threshold bladder
volume signal voltage may be determined by monitoring a maximum
bladder volume signal voltage among a plurality of bladder fill and
void cycles and then determining a threshold bladder volume voltage
based on the maximum bladder volume signal voltages among the
plurality of bladder fill and void cycles, such as by averaging the
maximum bladder volume signal voltages. The threshold bladder
volume signal voltage may be representative of a holding capacity
of an individual's bladder and may be used to generate
notifications indicative of a predictive need for the individual to
urinate (e.g., by comparing a bladder volume signal voltage
measured at a current time to the threshold bladder volume signal
voltage and generating the notification based, at least in part, on
determining that the measured bladder volume signal voltage is
greater than the threshold bladder volume signal voltage or differs
from the threshold bladder volume signal voltage by less than a
threshold amount).
In some embodiments, the thresholds for generating the
notifications may be determined differently. For example, a first
electrical output signal may be output with the plurality of
bladder electrical signal application electrodes 172a, 172b and a
bladder volume signal may be received at the plurality of bladder
volume measurement electrodes in response to the first electrical
output signal in the manner described above. A first bladder void
event may be determined based on the received bladder volume signal
(such as by determining when a bladder volume signal voltage is at
a first local minimum, as shown by the void event indicated in the
middle of the graphs shown in FIG. 5). A first bladder void
parameter associated with the first bladder void event may be
determined based on the bladder volume signal. For example, the
first bladder void parameter may be a first voltage of the bladder
volume signal associated with the first bladder void event. A
second bladder void event may be determined based on the received
bladder volume signal (such as by determining when a bladder volume
signal voltage is at a second local minimum, as shown by the void
event indicated on the right side of the graphs shown in FIG. 5). A
second bladder void parameter associated with the second bladder
void event may be determined based on the bladder volume signal.
For example, the second bladder void parameter may be a second
voltage of the bladder volume signal associated with the second
bladder void event. A first bladder void parameter threshold may be
determined based on the first bladder void parameter and the second
bladder void parameter. For example, the first bladder void
parameter threshold may be a first voltage threshold that is
determined based on the first voltage of the bladder volume signal
and the second voltage of the bladder volume signal, such as by
averaging the first voltage and the second voltage. The first
bladder void parameter threshold may then be used to generate a
notification based on the bladder volume signal at a current time.
For example, a first current bladder void parameter may be
determined based on the bladder volume signal at the current time,
the first current bladder void parameter may be compared to the
first bladder void parameter threshold, and a notification may be
generated based on the comparison. Carrying through the same
non-limiting example, a current bladder volume signal voltage may
be determined, the current bladder volume signal voltage may be
compared to the first voltage threshold, and a notification may be
generated based on the comparison, such as when the current bladder
volume signal voltage exceeds the first voltage threshold or a
difference between the first voltage threshold and the current
bladder volume signal voltage is less than a threshold amount.
Some embodiments may also use bladder muscle signal information to
determine the thresholds. For example, some embodiments receive a
bladder muscle signal at the plurality of bladder muscle
measurement electrodes 184a, 184b, determine the first bladder void
event based on the received bladder volume signal and the received
bladder muscle signal (e.g., by determining when a bladder volume
signal voltage is at a first local minimum and a bladder muscle
signal standard deviation is above a threshold amount at a first
time), and determine the second bladder void event based on the
received bladder volume signal and the received bladder muscle
signal (e.g., by determining when a bladder volume signal voltage
is at a second local minimum and a bladder muscle signal standard
deviation is above a threshold amount at a second time after the
first time).
Still referring to block 414 of FIG. 4, some embodiments may
generate the notification based on additional inputs other than the
bladder volume signal and the bladder muscle signal. For example,
some embodiments receive an inertial measurement signal from the
one or more inertial measurement units 136 and generate the
notification based on the bladder volume signal, the bladder muscle
signal, and the inertial measurement signal. At least one of the
one or more inertial measurement units 136 may be coupled to a body
of the patient such that the one or more inertial measurement units
136 outputs an inertial measurement signal indicative of a movement
of the patient. For example, some embodiments may detect a high
degree of movement based on the inertial measurement signal and
generate the notification based on the detected high degree of
movement, which may indicate that a person is uncomfortable and
needs to utilize the restroom. Some embodiments may use an inertial
measurement signal output by the one or more inertial measurement
units 136 to detect a potential false positive in the bladder
volume signal, which have been caused by a change in the patient's
orientation or posture, further increasing the reliability of the
notification.
Still referring to block 414 of FIG. 4, some embodiments receive
image data from the one or more cameras 144 and generate the
notification based on the bladder volume signal, the bladder muscle
signal, and the image data. The one or more cameras 144 are
positioned such that a patient is within the field of view of the
one or more cameras 144. For example, some embodiments may detect a
high degree of movement based on analyzing the image data and
generate the notification based on the detected high degree of
movement, which may indicate that a person is uncomfortable and
needs to utilize the restroom.
Some embodiments transmit the notification generated at block 414
to the portable electronic device 190 and/or to the remote
computing device 192, each of which may generate an appropriate
alert or notification to a caregiver or nurse indicative of a
predicted bed exit or that an individual may need to take a trip to
the restroom. By generating such a notification, the need to use
the restroom may be predicted early enough so that a caregiver may
assist a person to the restroom before the person attempts to use
the restroom himself or herself, which may create an undesirable
risk of a fall or injury.
It should be understood that embodiments described herein are
directed to systems and methods for generating notifications based
on bladder volume signals and bladder muscle signals. The system
outputs a first electrical output signal with a plurality of
bladder electrical signal application electrodes, receives a
bladder volume signal at a plurality of bladder volume measurement
electrodes in response to the first electrical output signal,
receives a bladder muscle signal at a plurality of bladder muscle
measurement electrodes, and generates a notification based on the
bladder volume signal and the bladder muscle signal. By generating
a notification (e.g., a notification indicative of a predicted bed
exit, a predicted need for a person to urinate, or the like) based
on both of the bladder volume signal and the bladder muscle signal,
reliability of the notification may be increased as compared to a
system that utilizes only one of the bladder muscle signal and the
bladder volume signal since a system that only utilizes one signal
could result in the generation of false notifications.
It is noted that the terms "substantially" and "about" may be
utilized herein to represent the inherent degree of uncertainty
that may be attributed to any quantitative comparison, value,
measurement, or other representation. These terms are also utilized
herein to represent the degree by which a quantitative
representation may vary from a stated reference without resulting
in a change in the basic function of the subject matter at
issue.
While particular embodiments have been illustrated and described
herein, it should be understood that various other changes and
modifications may be made without departing from the spirit and
scope of the claimed subject matter. Moreover, although various
aspects of the claimed subject matter have been described herein,
such aspects need not be utilized in combination. It is therefore
intended that the appended claims cover all such changes and
modifications that are within the scope of the claimed subject
matter.
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